Publications by authors named "Tolonen U"

Article Synopsis
  • A lifestyle intervention can effectively lower the risk of developing type 2 diabetes (T2D) in individuals at high genetic risk, while the impact on those with low genetic risk is less clear.
  • In a study involving 973 middle-aged men, participants were divided into groups based on genetic risk and received a three-year intervention focusing on diet and exercise.
  • Findings indicated that the intervention significantly reduced T2D risk for those with high genetic risk, while it did not show a significant effect for the low-risk group, suggesting that lifestyle changes can be beneficial for high-risk individuals.
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Purpose: Hyperglycemia is affected by lifestyle and genetic factors. We investigated if dietary patterns associate with glycemia in individuals with high or low genetic risk for type 2 diabetes (T2D).

Methods: Men (n = 1577, 51-81 years) without T2D from the Metabolic Syndrome in Men (METSIM) cohort filled a food-frequency questionnaire and participated in a 2-hour oral glucose tolerance test.

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Purpose: The aim of this study was to compare the pharyngeal airway size in different cranio-cervical postures in children with sleep-disordered breathing (SDB) and asymptomatic control children. We tested the hypothesis that the site of the most constricted pharyngeal airway in SDB children is not affected by head posture.

Methods: The study group comprised 29 children (14 boys, 15 girls, mean age 7.

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Objective. To evaluate spectral heart rate (HR) variation using short-term ECG recordings at rest and during the tilt table test. Methods.

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Objective: To test the hypothesis that the capability of two-dimensional lateral cephalogram in recognizing pharyngeal obstruction is poor compared with the capability of three-dimensional magnetic resonance imaging (MRI) and clinical observation of tonsillar size.

Materials And Methods: The study participants were 36 prepubertal children (19 male, 17 female; mean age 7.3 ± 1.

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Article Synopsis
  • The Schwann cell basement membrane (BM) is crucial for the proper differentiation of Schwann cells, but the specific function of certain collagens, particularly collagen XV, in nerve development is not well understood.
  • The absence of collagen XV in mice results in improperly organized axons in C-fibers and compromised myelination, especially when combined with the lack of laminin α4, which leads to more severe nerve injury and abnormal nerve structure even after a year.
  • Observations show that the absence of these components affects sensory nerve function, resulting in slower conduction speeds and changes in myelin structure, highlighting the importance of collagen XV and laminin α4 in the maturation of peripheral nerves and C-fiber formation.
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Atrophy demarcating to musculus teres minor is seen in magnetic resonance imaging of the shoulder region in 3 to 5.5% of investigations. We describe seven patients with prolonged or recurrent pain of the shoulder region, who were diagnosed in ENMG with damage of the axillary nerve brand to m.

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Background: Early auditory experiences are a prerequisite for speech and language acquisition. In healthy children, phoneme discrimination abilities improve for native and degrade for unfamiliar, socially irrelevant phoneme contrasts between 6 and 12 months of age as the brain tunes itself to, and specializes in the native spoken language. This process is known as perceptual narrowing, and has been found to predict normal native language acquisition.

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The present study aimed to assess the cephalometric features in children with sleep-disordered breathing (SDB). The subjects were 70 children (34 boys and 36 girls, mean age 7.3, SD 1.

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Objectives: Optic neuritis (ON) is a frequent initial manifestation of multiple sclerosis (MS). Autonomic failure affecting the pupillary function is known to exist in ON patients, and patients with MS are known to have more widespread autonomic dysfunction. For example, sudomotor dysfunction is well known in MS.

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Background: New imaging techniques allow a detailed visualization of the brain and the findings possibly correlate with neurophysiologic measurements and neurosensory and motor outcomes. Postnatal clinical factors known to associate with neurologic disabilities may contribute to brain abnormalities not visible to the naked eye.

Objectives: We evaluated whether quantitative measurement of organized water diffusion on MR imaging, apparent diffusion coefficient (ADC), relates to neurophysiologic function and to clinical risk factors and motor outcome in preterm infants.

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Objectives: To measure sweating in patients with multiple sclerosis (MS).

Materials And Methods: Sweating was measured by an evaporimeter after a heating stimulus in 29 MS patients and in 15 healthy control subjects.

Results: The MS patients sweated markedly less than the controls.

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The aim of the present study was to examine the effects of nocturnal breathing disorders such as obstructive sleep apnoea (OSA) and snoring on developing dental arches. The study group comprised 41 children (22 males, 19 females, mean age 7.2 years, standard deviation 1.

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Objectives: This study assessed the sympathetic skin responses (SSRs) and their correlation with brain lesion volumes in patients with multiple sclerosis (MS).

Materials And Methods: The SSRs were measured in 27 patients with MS and 27 healthy controls. The volumes of the proton density-weighted MS lesions in the brain were measured using MRI.

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Objectives: The diagnostic utility and reliability of an easy-to-operate novel handheld nerve conduction tester in carpal tunnel syndrome (CTS) were evaluated.

Materials And Methods: Using the test device, the sensory nerve conductions (SNC) in the median and ulnar nerves were compared with each other in 194 patients with suspected CTS and 95 healthy controls. The test device results were compared with the results of nerve conduction studies (NCS) with traditional instrumentation.

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Article Synopsis
  • The analysis evaluated reproductive endocrine disorders among 148 women with epilepsy, finding higher rates in those with idiopathic generalized epilepsy compared to control subjects.
  • Use of the antiepileptic drug valproate was linked to a greater prevalence of conditions like hyperandrogenism and polycystic ovary syndrome in these women.
  • The study concluded that both the type of epilepsy and the use of valproate played significant roles in increasing the risk of reproductive endocrine disorders, particularly when the epilepsy was active early in life.
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Objective: To follow the clinical course of patients with the mitochondrial DNA mutation 3243A>G for 3 years.

Methods: Thirty-three adult patients with the 3243A>G mutation entered a 3-year follow-up study. They were clinically evaluated annually, audiometry was performed, and samples were drawn for the analysis of blood chemistry and mutation heteroplasmy in leukocytes.

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Purpose: Cardiovascular dysregulation has been detected in patients with temporal lobe epilepsy (TLE) by using cardiovascular reflex tests and analysis of heart rate variability (HRV). The two methods have not previously been used in the same study to compare them in the assessment of cardioregulatory function. Magnetic resonance imaging (MRI) is considered the best method to reveal structural changes such as hippocampal sclerosis associated with TLE.

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Computed tomography provides a sensitive method for investigating skeletal muscle changes in neuromuscular diseases, but this method has not been applied to mitochondrial myopathies. We characterized the pattern of muscle involvement in patients with the 3243A>G mutation in mitochondrial DNA (mtDNA), the common MELAS (mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes) mutation. Twenty-four patients, age 19-73 years, with 3243A>G were examined.

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Objective: The aim of the present study was to investigate the cardiovascular autonomic control in clinically definite multiple sclerosis (MS) patients with a standardised battery of cardiovascular tests and to correlate these findings with the brain magnetic resonance imaging (MRI) lesion load.

Methods: Fifty-one patients with MS and 50 healthy controls were studied. Brain MRI was performed in all patients showing typical MS lesions.

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Diminished heart rate (HR) variability has been reported in patients with early phase Parkinson's disease (PD) using standardized cardiovascular reflex tests. However, limited data exist on HR variability during sleep; thus the present study was performed to investigate the characteristics of HR variability during different sleep stages. The HR variability of 21 newly diagnosed and untreated PD patients and of 22 control subjects was evaluated by using time domain, frequency domain and non-linear methods and by analyzing HR reactions to body movements during the different sleep stages (non-REM stages S1-4 and the REM stage).

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Objectives: To survey the effects of pregnancy on mothers' sleep.

Methods: Mothers were interviewed during and after pregnancy with a series of five questionnaires to assess alterations in their sleep. The first questionnaire covered the 3 months before becoming pregnant, the next three the trimesters of pregnancy and the last the 3 months after delivery.

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Objective: To assess the influence of central and peripheral neurological diseases on the incidence of accidental falls of the aged.

Design: 1. Case-control study with cross-section at two years and 2.

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Peripheral neuropathy is one of the clinical manifestations of the MELAS (mitochondrial encephalopathy with lactic acidosis and stroke-like episodes) syndrome, but its frequency and phenotypic variability have not been properly characterised. We therefore studied the clinical and electrophysiological features of peripheral neuropathy in 32 patients with the 3243A > G mutation in mitochondrial DNA by using clinical examination, assessment of Neuropathy Symptom Score, Neuropathy Disability Score, and electrophysiological examinations. Seven patients (22 %; 95 % confidence interval, 9-40 %) fulfilled the electrodiagnostic criteria for polyneuropathy.

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Background: Brainstem auditory potential (BAEP) has been used to demonstrate brainstem damage and to provide prognosis for the outcome for newborn children. There are contradictory results of its power to predict problems in language development or problems at school. It is well known that preterm children experience an excess of these problems.

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